To the Editor:
We read with interest on the “online first” version of your journal the article by Cho et al. [1] reporting on safety and feasibility of a new technique of inflow occlusion in laparoscopic liver resection. The authors describe a method to laparoscopically encircle the hepatoduodenal ligament by vessel tape using an Endo Retract Maxi as a tourniquet for complete interruption of blood inflow to the liver (laparoscopic Pringle’s manoeuvre). We agree with the authors’ opinion on the ease and safety of hepatoduodenal ligament encircling, but would like to stress that this technique is not new.
In fact, to perform a laparoscopic Pringle’s manoeuvre, we started to encircle the hepatoduodenal ligament by vessel tape using an Endo Retract Maxi several years ago.
We have already described this technique in the literature for the first time and stressed the feasibility and advantages of such a manoeuvre utilizing an Endo Retract Maxi [2].
References
Cho A, Yamamoto H, Nagata M, Takiguchi N, Shimada H, Kainuma O et al (2008) Safe and feasible inflow occlusion in laparoscopic liver resection. Surg Endosc. Dec 31
Belli G, Fantini C, D’Agostino A, Cioffi L, Limongelli P, Russo G et al (2008) Laparoscopic segment VI liver resection using a left lateral decubitus position: a personal modified technique. J Gastrointest Surg 12:2221–2226. Epub 2008 May 13
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Belli, G., Fantini, C., D’Agostino, A. et al. Re: Safe and feasible inflow occlusion in laparoscopic liver resection. Surg Endosc 23, 1686 (2009). https://doi.org/10.1007/s00464-009-0519-y
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DOI: https://doi.org/10.1007/s00464-009-0519-y